The LITFL Review 088

Welcome to the overwhelming 88th edition!

The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around.

The Most Fair Dinkum Ripper Beaut of the Week

Movin’ Meat

  • Movin’ Meat asks the tough question: ” how do we, as doctors, deal with the emotional baggage we encounter in our profession?” He then goes into an indepth, thought provoking look at the fact that you are (Only) human. Brilliant writing and discussion on the topic, making it the ripper of the week.

The LITFL Review Top Picks


EKG Videos

  • Amal shares a case from Dr Sean Fox on why we should check an ECG on every post seizure patient:


EM Literature of Note

  • Next Up – Apixaban! Not another anticoagulant on the market I hear you say!
  • More C-Spine “Doom and Gloom” Bottom line: These injuries are quite rare, and not every patient needs an MRI or dynamic testing for cervical stability.  However, in the end, these tests have a role and should be utilized as necessary in the appropriate clinical situation.



 Academic Life in Emergency Medicine


  • Acute alcohol intoxication and fluid – Who routinely gives fluids to your alcohol intoxicated patients? We know it doesn’t speed up the elimination of alcohol from the system, but it does allow us to replaced the fluid that the alcohol induce diuresis causes, and allows for thiamine administration!


  • hard & soft… signs in detecting peripheral vascular injury. Another great review from Chris.


 The Poison Review

 Greater Sydney Area HEMS

  • Spinal Dogma Part 3 – Would you clear the c-spine in an intubated patient if you had a normal CT neck? If you do it seems you will miss an c-spine injury once very 14 years. A risk worth taken I believe considering the benefits of of clearing the spine in this patient population.
  • David gives a great vodcast presentation on were we are at when it comes to Trauma Resuscitation – An Update for 2012


  • Are we drowning our patients? David has a look at the evidence and fallacies for fluid resuscitation in our critically unwell patients. Great piece of writing here, worth having a gander at!


  • Nurse to the rescue Drip Drop… Setting up and infusion/drip without a pump!

  • A guide to anaphylaxis for our pre-hospital providers! Remember adrenaline is the drug of choice, give it IM and into the thigh.

Emergency Medicine Education

 Dr Smith’s ECG Blog


Emergency Physicians Monthly

  • Michelle Lin shares her thoughts on Twitter: The Digital Watercooler. It seems the web’s favorite micro-blogging platform has now proven to be a robust way to keep up with EM literature…Don’t think many FOAMers would disagree with that statement!

Broome Docs

 The Trauma Professional’s Blog


The Short Coat

Intensive Care Network

Pediatric EM Morsels

  • Nitrous Oxide – Remember its not just for dentist, great review on its many uses in the paediatric emergency population. Have you got it ready for your next procedure in the ED?

  • Colin and the team are back to answer the bread and butter questions around UTI in children! Why is Urinary Tract Infection in children different from cystitis or pyelonephritis in adults? How hard should we be looking for UTI, and what’s the best way to confirm or exclude the diagnosis?


Eric Ling gives us the low down on the power of gravity and how it affects our patients!

The LITFL Review Shout Out of the Week


Shout out this week goes to boringem, a new blog that aims to teach us the non sexy stuff that is the bread and butter of what we do every day. For more on this concept check out: I’m drowning in FOAMed!

  • First post of the mark is Urinalysis Voodoo – do you really know how to interpret a UA?

Twee Dee and Twitical Care

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News from the Fastlane

  • Peter Alley gets involved in and helps launch a New Dutch Emergency Medicine Blog.
  • Another great wrap up is available from EMA December 2012… Worth a read!
  • Are you sitting on the fence when it comes to stroke thrombolyisis? Michelle tackles the controversies in Schrödinger’s Fence, an excellent piece on something that we are all being confronted with at present. Check out the comments for an even more in-depth discussion.
  • Mike and Chris are featured in an article on CNET discussing LITFL and the upcoming SMACC conference…Check out The Best Medicine for more!
  • #FOAMed Facts – Mike does the stats on were we are at when it comes to FOAMed.

The Final Words

“You can avoid reality, but you cannot avoid the consequences of avoiding reality.”

– Ayn Rand

LITFL Review EM/CC Educational Social Media Round Up

Emergency Medicine and Critical Care Blogroll

Emergency Medicine and Critical Care Podcasts — Academic Life in Emergency Medicine — Adventure Medicine—  A Life at Risk — All LA Conference — Al Sacchetti’s Youtube — Bedside Ultrasound  Better in Emergency Medicine boringemBroome Docs — — CLIC-EM — Critical Care Perspectives in EM — Dave on Airways —DrGDH — Dr Smith’s ECG Blog — ECG Academy — ECG Guru — ECG of the WeekED Exam —ED-Nurse— EDTCC — EKG Videos — EM Basic — EM Core Content — EMCrit — Emergency Medical Abstracts —EMERJENCYWEBB –EmergencyLondon — Emergency Medicine Cases — Emergency Medicine Education — Emergency Medicine News  Emergency Medicine Ireland — Emergency Medicine TutorialsEmergency Medicine Updates —Emergucate EM Literature of Note —  — EMpills  — Emergency Physicians Monthly — EM Lyceum — EMProcedures — EMRAP —  EMRAP: Educators’ Edition — EMRAP.TV — EM REMS — ER CAST — EXPENSIVECARE — Free Emergency Medicine Talks — GMEP — Gmergency! —  Greater Sydney Area HEMS —  — ICU Rounds — Impactednurse — Intensive Care Network — iTeachEM — keepcaring — Keeping Up With Emergency Medicine — KeeWeeDoc — KI Docs — LipheLongLurnERdok  — MDaware — MD+ CALC  — MedEDMasters  — Medical Education Videos — Medicina d’urgenza — Medicine for the Outdoors — Micrognome — Movin’ Meat — Neurointensive Care — Pediatric EM Morsels — PEM ED — PEMLit PEMTweets Blog — PHARM — Practical Evidence — Priceless Electrical Activity — Procedurettes — — Radiology Signs — Radiopaedia — — Resus.ME — RESUS Room — Richard Winters’ Physician Leadership —ruralflyingdoc — SCANCRIT — SCCM Blogs —  SCCM Podcast — SEMEP — SinaiEM — SinaiEM Ultrasound —  SMART EM   SOCMOB — SonoSpot — StEmylns — Takeokun — thebluntdissectionThe Central Line — The Ember Project —The Emergency Medicine Resident Blog —  The NNT  — The Poison Review — The Sharp End — The Short Coat The Skeptics Guide to Emergency Medicine  The Sono Cave – The Trauma Professional’s Blog —  — ToxTalk — TJdogma  Twin Cities Toxicology — Ultrarounds —  UMEM Educational Pearls  —Ultrasound Podcast — Ultrasound Village

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